Individual
MR. MICHAEL DAVID WAINIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
363 HIGHLAND AVE, FALL RIVER, MA 02720-3703
(508) 676-3411
(508) 235-6658
Mailing address
16 COURTNEY DR, WESTPORT, MA 02790-4727
(508) 536-8461
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
006158-1
NY
363A00000X
Physician Assistant
Primary
PA2284
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110186BF
PREFERRED CARE
NY
01
—
P019006158
BLUE CHOICE
NY
Enumeration date
07/12/2006
Last updated
01/16/2026
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